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“We want to make sure Obamacare and all the pain it’s causing is the number one issue on everyone’s mind,” said AFP president Tim Phillips. “Kay Hagan is being held accountable for a law that is causing canceled insurance plans, lost access to doctors and rising costs.”

Backed by billionaire industrialists Charles and David Koch, this is just the latest onslaught of ads the group has launched in North Carolina. In 2013, AFP spent millions targeting Hagan and has already engaged in a major television ad buy in January.

North Carolina is critical to Republicans strategy of trying to win the majority in the Senate. North Carolina House Speaker Thom Tillis is considered the state’s best chance at ousting Hagan, according to several Republican strategists. At least six Republicans are facing off in the May 6 primary.

The “white ad” is the same spot that has previously run in the Tar Heel State.

The ad features a woman speaking directly into the camera about how Obamacare doesn’t work. “People don’t like political ads. I don’t like them either, but health care isn’t about politics,” the woman says. “It’s about people. It’s not about a website that doesn’t work it’s not about poll numbers or approval ratings. It’s about people. Millions of people have lost their health insurance, millions of people can’t see their own doctors and millions are paying more and getting less. Obamacare doesn’t work, it just doesn’t work.”

“This is just another baseless smear campaign from a Koch Brothers-backed group that doesn’t disclose its donors, doesn’t speak for North Carolinians, and has a record of airing ads that fact checkers call false,” Weiner said. “The Koch Brothers have poured more than $8 million in North Carolina trying to buy a Senate seat because they know Kay will always choose the best interests of North Carolina over their special interest agenda”

She added: “The only people choosing politics over people are Kay’s opponents who rejected health care for 500,000 North Carolinians, refused to set up a state-based healthcare marketplace and want to take us back to a time when seniors paid more for prescription drugs and women got charged more for coverage.”